Online Forms

We offer our paperwork on line so you can complete it in the convenience of your own home.

Health History

This let’s us know what’s happened, but perhaps more important, where do you want to take your health?

Download & Print Form

Consent for Disclosure

Consent for use or disclosure of health information.

Download & Print Form

Terms of Acceptance

When a patient seeks chiropractic health care and when a chiropractor accepts a patient for such care, it is essential that both are speaking and working for the same goals. This form defines the goals of your care.

Download & Print Form

Fee Schedule

This form outlines our office policies and fees.

 Download & Print Form

Spinal Decompression Forms

If you would like to see if you are a candidate for Spinal Decompression please fill out these additional forms:

Decompression Consultation Form

This questionnaire helps us determine if you are a candidate for Spinal Decompression.

 Download & Print Form

Oswestry Back form

This questionnaire is designed to enable us to understand how much your low back has affected your ability to manage everyday activities.

Download & Print Form

Free AdobeReader®

Each form is a PDF document file. If you do not already have AdobeReader® installed on your computer, click the Adobe® image to download for free.

Our knowledgeable staff can field most questions over the telephone. Contact Innate Specific Chiropractic today.

Innate Specific Chiropractic
2523 South Lapeer Road, Lake Orion, MI | (248) 393-1211